healthcosts.net
New Patient Office Visit (level 5) at Lincoln Health
35 Miles St, Damariscotta, ME · MaineHealth · · NPI 1912094806
$962.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$962.80
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$176.12 with Aetna vs $425.31 with Harvard Pilgrim Healthcare — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | MHACO Government | $176.12 | ↓ -82% |
| Anthem | Medicare Advantage | $192.42 | ↓ -80% |
| United Healthcare | Medicare Advantage | $192.42 | ↓ -80% |
| Wellcare | Medicare Advantage | $200.11 | ↓ -79% |
| Aetna | Medicare Advantage | $202.54 | ↓ -79% |
| Humana | Medicare Advantage | $202.54 | ↓ -79% |
| Aetna | HMO/PPO | $240.48 | ↓ -75% |
| Anthem | HMO/POS/PPO Pathway Enhanced | $321.83 | ↓ -67% |
| Multiplan | Commercial | $325.58 | ↓ -66% |
| United Healthcare | Commercial | $342.72 | ↓ -64% |
| Aetna | MHACO Commercial | $357.62 | ↓ -63% |
| Community Health Options | Commercial | $368.04 | ↓ -62% |
| Cigna | Commercial | $394.16 | ↓ -59% |
| Harvard Pilgrim Healthcare | Commercial | $425.31 | ↓ -56% |
| Harvard Pilgrim Healthcare | Maine's Choice | $425.31 | ↓ -56% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Maine hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $655.15 | $115.85 – $394.16 |
| Stephens Memorial Hospital | Norway | $710.00 | $176.12 – $425.31 |
| Pen Bay Medical Center | Rockport | $392.80 | $124.73 – $331.63 |
| Spring Harbor Hospital | Westbrook | $465.85 | $172.48 – $425.31 |
| Waldo County General Hospital | Belfast | $857.05 | $58.57 – $137.34 |
| Mid Coast Hospital | Brunswick | $551.30 | $125.85 – $332.02 |